| NPI | 1033548201 |
|---|---|
| Doing Business As | DISTINCTIVE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE R MASCHKE Asst. To Gen. Mgr 248-542-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901019426) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-12-12 |